Terra incognita—cerebellar contributions to neuropsychiatric and cognitive dysfunction in behavioral variant frontotemporal dementia

Although converging evidence has positioned the human cerebellum as an important relay for intact cognitive and neuropsychiatric processing, changes in this large structure remain mostly overlooked in behavioral variant frontotemporal dementia (bvFTD), a disease which is characterized by cognitive and neuropsychiatric deficits. The present study assessed whether degeneration in specific cerebellar subregions associate with indices of cognition and neuropsychiatric performance in bvFTD. Our results demonstrate a relationship between cognitive and neuropsychiatric decline across various domains of memory, language, emotion, executive, visuospatial function, and motivation and the degree of gray matter degeneration in cerebellar lobules V–VII. Most notably, bilateral cerebellar lobule VII and the posterior vermis emerged as distinct for memory processes, the right cerebellar hemisphere underpinned emotion, and the posterior vermis was highlighted in language dysfunction in bvFTD. Based on cortico-cerebellar connectivity maps, these findings in the cerebellum are consistent with the neural connections with the cortices involved in these domains in patients with bvFTD. Overall, the present study underscores the significance of cortical-cerebellar networks associated with cognition and neuropsychiatric dysfunction in bvFTD

The Economic Impact of the Green Industry in the United States

This study estimates the economic impacts of the U.S. environmental horticulture industry (also known as the Green Industry) to be $147.8 billion in output, 1,964,339 jobs,$95.1 billion in value added, $64.3 billion in labor income, and$6.9 billion in indirect business taxes, with these values expressed in 2004 dollars.Environmental Economics and Policy,

Pronounced impairment of activities of daily living in posterior cortical atrophy

Introduction : The impact of several dementia syndromes on activities of daily living (ADLs) has been well documented, but no study has yet investigated functional ability in posterior cortical atrophy (PCA). The primarily visual nature of deficits in this condition is likely to have a pronounced impact on ADLs. Objective : The aim of this study was to profile functional change in PCA and identify predictors of change. Method : Twenty-nine PCA patients and 25 patients with typical Alzheimer’s disease (AD) and their caregivers were included in this cross-sectional study. ADLs were assessed using the Disability Assessment for Dementia (DAD), administered to caregivers, assessing basic ADLs (e.g., eating, dressing) and instrumental ADLs (e.g., managing finances, meal preparation). The predictive utility of cognitive domains (Addenbrooke’s Cognitive Examination), behavioural impairment (Cambridge Behavioural Inventory-Revised) and demographic variables on ADL ability was also examined. Results : PCA patients showed significantly reduced total ADL scores compared to AD patients (medium effect size, d = –0.7; p 0.05). A model combining patient mood, disinhibition, apathy, symptom duration, and memory and attention/orientation scores explained the variance of scores in functional decline (61.2%), but the key factor predicting ADL scores was attention/orientation (p = 0.048). Conclusion : This study shows the profound impact of PCA on ADLs and factors underpinning patients’ disability. Attention/orientation deficits were found to correlate and contribute to variance in ADL scores. Future work to develop tailored interventions to manage ADL impairment in PCA should take these findings into account

Determining the Impact of Autobiographical Experience on "Meaning": New Insights from Investigating Sports-related Vocabulary and Knowledge in Two Cases with Semantic Dementia

Snowden, Griffiths, and Neary (1994, 1995) have proposed thatautobiographical experience helps to maintain the integrity of semantic memory in patients with semantic dementia. We investigated this hypothesis by testing knowledge related to golf and bowls in two case studies. If Snowden and colleagues' hypothesis is correct, our two patients should have better semantic knowledge for the sport that they regularly experience, compared with knowledge of other sports. In keeping with Snowden et al's hypothesis, we found that autobiographical experience influenced the ability of the patients to match up a surname with a first name: The names of personally and currently relevant golf bowls partners were more likely to be matched correctly than such personally relevant names from the past, or the names of famous sports celebrities. Unlike Snowden et al., however, we found that knowledge of people, in all categories, was severely impoverished and that any semantic information was produced as part of an autobiographical memory. Likewise, detailed study of each patient's understanding of their favourite sportrevealed no significanteffectof autobiographical experience on true semantic knowledge. We propose that the ability of semantic dementia patients to encode, albeit temporarily, recent autobiographical memories via a spared hippocampal complex supports the production of highly autobiographically constrained semantic-like facts and, to a lesser extent, frequently encountered names. There is, however, no direct effect of autobiographical experience on previously established semantic memory, i.e. knowledge of golf, bowls, and people, presumably stored within the temporal neocortex. These results are discussed with respect to current anatomically based computational models of long-term memory

Characterizing sexual behavior in frontotemporal dementia

Background: Frontotemporal dementia (FTD) is characterized by a number of prominent behavioral changes. While FTD has been associated with the presence of aberrant or unusual sexual behaviors in a proportion of patients, few studies have formally investigated changes in sexual function in this disease. Objective: We aimed to systematically quantify changes in sexual behavior, including current symptoms and changes from prior diagnoses, in behavioral-variant (bvFTD) and semantic dementia (SD), compared to Alzheimer’s disease (AD). Methods: Carers of 49 dementia patients (21 bvFTD, 11 SD, 17 AD) were interviewed using the Sexual Behavior and Intimacy Questionnaire (SIQ), a survey designed to assess changes in sexual function across multiple domains including initiating, level of affection, and aberrant or unusual sexual behavior. Results: BvFTD patients show prominent hyposexual behavior including decreased affection, initiation, and response to advances by partners, and decreased frequency of sexual relations, compared to AD and to SD patients. The greatest changes in sexual behavior compared to pre-diagnoses were found in the bvFTD group with a 90–100% decrease in initiation, response, and frequency of sexual relations. Notably, aberrant or unusual sexual behavior was reported in a minority of bvFTD and SD patients and occurred in patients who also showed hyposexual behavior toward their partner. Conclusion: Overall loss of affection, reduced initiation of sexual activity, and responsiveness is an overwhelming feature of bvFTD. In contrast, aberrant or unusual sexual behavior is observed in the minority of bvFTD patients. The underlying pathophysiology of these changes likely reflects structural and functional changes in frontoinsular and limbic regions including the hypothalamus

Flight Experiments on the Effects of Contamination on Electron Emission of Materials

We report on a study of the effects of prolonged exposure to the space environment and of chargeenhanced contamination on the electron emission and resistivity of spacecraft materials. The State of Utah Space Environment & Contamination Study (SUSpECS) was deployed on the International Space Station (ISS) in March 2008 onboard the MISSE-6 payload during STS-123. The Materials International Space Station Experiment (MISSE-6) program is designed to characterize the performance of candidate new space materials over the course of its ~17 month exposure to the LEO environment, with a target return date of August 2009 on STS-127. Approximately 165 samples are mounted on three separate SUSpECS panels in the ram and wake sides on the ISS. They have been carefully chosen to provide needed information for different ongoing studies and a broad cross-section of prototypical materials used on the exteriors of spacecrafts. Design of the sample panels are detailed, including a three tiered configuration intended to provide variable atomic oxygen and ultraviolet radiation exposure. The methods used to simulate charge enhanced contamination by actively biasing samples to low positive and negative voltages are also described. A primary emphasis of SUSpECS is the study of modifications to the electron emission resulting from exposure to the space plasma environment and to environmental contamination. There is presently little available data related to the effects of sample deterioration and contamination on emission properties for materials actually flown in space. Electron emission and transport properties of materials are key in determining the amount of charge build-up and the time for the charge to dissipate, as well as the likelihood of deleterious spacecraft charging effects. Such materials properties are essential parameters in modeling spacecraft charging with engineering tools like NASCAP-2K code. SUSpECS studies will test the validity of our predictions from ground-based studies that very thin layers of contamination can lead to severe charging effects under certain circumstance. Electron-, ion-, and photon-induced electron emission yield curves, crossover energies and emission spectra, as well as resistivity and dielectric strength, have been tested for most SUSpECS samples in their pristine conditions before flight. These measurements will be compared with post-flight measurements. Additional pre- and post-flight characterization measurements include optical and electron microscopy, reflection spectroscopy, emissivity and Auger electron spectroscopy

A questionable semantics: The interaction between semantic knowledge and autobiographical experience in semantic dementia

In our earlier article, we proposed that recent episodic experiences in patients with semantic dementia support the production of nongeneralisable, autobiographically constrained, “semantic-like” facts (Graham, Lambon Ralph, & Hodges, 1997). We argued that this type of “semantic-like” knowledge was distinguishable from true semantic information because our two patients with semantic dementia showed no facilitatory effect of recent autobiographical experiences on their knowledge of golf and bowls; information which was presumably learnt prior to the onset of their disease. In this paper, we discuss the implications of these results for current views relating to the nature and organisation of long-term memory

Fronto-striatal atrophy in behavioural variant frontotemporal dementia & Alzheimer’s disease

Behavioral variant frontotemporal dementia (bvFTD) has only recently been associated with significant striatal atrophy, whereas the striatum appears to be relatively preserved in Alzheimer’s disease (AD). Considering the critical role the striatum has in cognition and behavior, striatal degeneration, together with frontal atrophy, could be responsible of some characteristic symptoms in bvFTD and emerges therefore as promising novel diagnostic biomarker to distinguish bvFTD and AD. Previous studies have, however, only taken either cortical or striatal atrophy into account when comparing the two diseases. In this study, we establish for the first time a profile of fronto-striatal atrophy in 23 bvFTD and 29 AD patients at presentation, based on the structural connectivity of striatal and cortical regions. Patients are compared to 50 healthy controls by using a novel probabilistic connectivity atlas, which defines striatal regions by their cortical white-matter connectivity, allowing us to explore the degeneration of the frontal and striatal regions that are functionally linked. Comparisons with controls revealed that bvFTD showed substantial fronto-striatal atrophy affecting the ventral as well as anterior and posterior dorso-lateral prefrontal cortices and the related striatal subregions. In contrast, AD showed few frontostriatal atrophy, despite having significant posterior dorso-lateral prefrontal degeneration. Direct comparison between bvFTD and AD revealed significantly more atrophy in the ventral striatal–ventromedial prefrontal cortex regions in bvFTD. Consequently, deficits in ventral fronto-striatal regions emerge as promising novel and efficient diagnosis biomarker for bvFTD. Future investigations into the contributions of these fronto-striatal loops on bvFTD symptomology are needed to develop simple diagnostic and disease tracking algorithms